Doctor Name: | MS. LAURA CATHERINE MOSS |
NPI Number: | 1639553191 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | COA.17688-NP |
Business Practice Address: | 26376 John Rd Olmsted Twp, OH - 441381277 |
Business Phone Number: | 4402357100 |
Business Fax Number: | |
Mailing Address: | 26376 John Rd, OLMSTED TWP |
State: | OH |
Postal Code: | 441381277 |
Phone Number: | 4402357100 |
Fax Number: | |
NPI Enumeration Date: | 07/15/2015 |
NPI Last Update Date: | 07/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | COA.17688-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |